Individual provider Active NPI

Gabriel Crawford

  • Psychiatric/Mental Health Nurse Practitioner
  • Farmington, MO
National Provider Identifier
1730546243
Registry record updated Mar 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
2084P0800X Issued in MO
Practice address
4217 Scenic View Dr
Farmington, MO 63640-7846
Phone
(573) 330-6468
Fax
(573) 218-0716
NPI assigned
Jan 28, 2016
Last updated
Mar 10, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 10, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Single Specialty Group 193400000X 2084P0800X MO
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X 2084P0800X MO Primary

Addresses

Primary practice location

4217 Scenic View Dr
Farmington, MO 63640-7846

Mailing address

4217 Scenic View Dr
Farmington, MO 63640-7846
Phone (573) 330-6468

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160219001054 MO Practitioner - Nurse Practitioner 8325343957 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mineral Area Psychiatric Services LLCGroup PAC ID 3072880962, 10 clinicians

Practice addresses (Care Compare)

203 S Washington St
Farmington, MO 63640-1836
Phone (573) 330-6468

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
24.79 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
82.63

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2084P0800XMOMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Psychiatric Services Inc Multi-Specialty CurrentSince Feb 2, 2016 Accepting new patients
Mineral Area Psychiatric Services LLC Multi-Specialty CurrentSince May 1, 2017 Accepting new patients
Advanced Psychiatric Services Multi-Specialty Past Accepting new patients

Locations

807 Collins Dr
Festus, MO 63028
Phone (636) 931-4206

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1453939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741564800000",
    "number": "1730546243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4217 SCENIC VIEW DR",
            "city": "FARMINGTON",
            "state": "MO",
            "postal_code": "636407846",
            "telephone_number": "573-330-6468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4217 SCENIC VIEW DR",
            "city": "FARMINGTON",
            "state": "MO",
            "postal_code": "636407846",
            "telephone_number": "573-330-6468",
            "fax_number": "573-218-0716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAWFORD",
        "first_name": "GABRIEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-01-28",
        "last_updated": "2025-03-10",
        "certification_date": "2025-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "193400000X",
            "taxonomy_group": "",
            "desc": "Single Specialty",
            "state": "MO",
            "license": "2084P0800X",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MO",
            "license": "2084P0800X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington, MO

Sources for this page

Verify at the official NPI Registry.